Penelope E Avalos, MSW, LCSW
Social Worker, Clinical in Waterford, Connecticut
1114645108- Practice location
- 567 Vauxhall Street Ext Ste 122, Waterford, CT 06385-4332
- Phone
- 860-917-0790
- Fax
- 860-371-2624
- Last updated
- August 16, 2022
Penelope Emma Avalos is a Social Worker, Clinical based in Waterford, CT. Penelope Emma Avalos practices in Waterford, CT and has the professional credentials of MSW, LCSW. The NPI Number for Penelope Emma Avalos is 1114645108 and holds a License No. 009556 (CT). The current practice location address for Penelope Emma Avalos is 567 Vauxhall Street Ext Ste 122, Waterford, CT 06385-4332 and can be reached out via phone at 860-917-0790 and via fax at 860-371-2624.
Provider Profile Details
- NPI Number
- 1114645108
- Provider Name
- Penelope Emma Avalos
- Credential
- MSW, LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 567 Vauxhall Street Ext Ste 122, Waterford, CT 06385-4332
- Phone Number
- 860-917-0790
- Fax Number
- 860-371-2624
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 16, 2022
- Last Update Date
- August 16, 2022
- Certification Date
- August 16, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 567 Vauxhall Street Ext Ste 122
Waterford, CT 06385-4332 - City
- Waterford
- State
- Connecticut
- Zip
- 06385-4332
- Phone Number
- 860-917-0790
- Fax Number
- 860-371-2624
Provider Business Mailing Address Details
- Address
- 567 Vauxhall Street Ext Ste 122
Waterford, CT 06385-4332 - City
- Waterford
- State
- CT
- Zip
- 06385-4332
- Phone Number
- 860-917-0790
- Fax Number
- 860-371-2624
License Information
- License Number
- 009556
- License State
- CT
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Penelope E Avalos, MSW, LCSW?
The NPI number of Penelope E Avalos, MSW, LCSW is 1114645108. It was assigned on August 16, 2022 and is currently active in the NPPES registry.
What is the specialty of Penelope E Avalos, MSW, LCSW?
Penelope E Avalos, MSW, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 009556.
Where does Penelope E Avalos, MSW, LCSW practice?
The practice location is 567 Vauxhall Street Ext Ste 122, Waterford, CT 06385-4332. The office can be reached at 860-917-0790 (phone) or 860-371-2624 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114645108 directly on the NPPES registry website.